Wound cleaning assembly

ABSTRACT

A wound cleansing assembly, which includes or is a wound cleansing cloth (1), having at least one carrier layer (2) and threads (3) disposed on the carrier layer (2) and protruding from the carrier (2), preferably made exclusively of synthetic fibers, preferably plastic fibers.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application claims priority to and is a Continuation of U.S. patentapplication Ser. No. 15/649,844, filed Jul. 14, 2017, which is aContinuation of U.S. patent application Ser. No. 14/790,398, filed onJul. 2, 2015 (now issued U.S. Pat. No. 9,713,553), which is aContinuation of U.S. patent application Ser. No. 13/146,729, with a371(c) filing date of Oct. 4, 2011, which application was abandoned andwas a 371 national application filed from International Application No.PCT/AT2010/000027, filed Jan. 26, 2010; and Austrian Patent ApplicationNo. A 145/2009, filed Jan. 28, 2009, each of which is incorporatedherein by reference in its entirety.

STATEMENT REGARDING FEDERALLY SPONSORED RESEARCH OR DEVELOPMENT

Not applicable.

BACKGROUND OF THE INVENTION

The present invention relates to a wound cleansing assembly, used forcleansing wounds, an arrangement comprising a wound cleansing assemblyand a packaging, as well as a method for producing such a woundcleansing assembly.

The start of any medical wound treatment is the successful cleansing ofthe wound. For this purpose, various methods and means have been used inprior art. The cleansing of wounds via cotton pads is largely known andused. Also known are surgical or hydro-surgical cleansing methods or theapplication of impulse wave therapy or ultrasound. The centralrequirements for a successful wound cleansing are that on the one handany contaminants are removed as completely as possible and on the otherhand any already beginning healing processes are not reversed bydestroying and/or rubbing off any already newly forming intact woundclosures. This particularly applies for drawn-out medical treatments ofchronic wounds.

The so-called debridement is particularly important for the treatment ofacute wounds and in particular for chronic wounds. This represents theprocess of wound base preparation, in which substances formed by thebody itself or in other words human material is removed, such as excessfluids, fibrin coatings, dead tissue of the epidermis, e.g., excesskeratin material or dead keratinocytes and/or coatings of dead tissue(necroses). Presently, such debridement can practically be achieved onlyvia technical medical means, such as hydro-surgery, impulse wavetherapy, or by surgery. Further, in prior art the extended applicationof specially moistened wound bandages is contested, which after anextended period of application shall achieve such a debridement effect.The methods known in prior art are expensive and painful and partiallyaggressive. During the removal of the biological material disturbing thehealing process of the wound the purpose of debridement is to preservethe newly sprouting skin spots, i.e. the granulation tissue,uncompromised to the extent possible until the early formation ofepithelial cells and only to remove the disturbing substances. In themethods of prior art this goal is not achieved to the extent desired.

Overall, the methods and means used in prior art are partially veryexpensive and only insufficiently fulfill the above-mentioned centralrequirements.

BRIEF SUMMARY OF THE INVENTION

Therefore, the objective of the present invention is to provide a wayfor wound cleansing and particularly for debridement in which a carefulbut simply performed process for wound cleansing, particularlydebridement is possible, which satisfactorily removes the contaminantsbut does not compromise the already beginning healing process or evenreverses it.

This is achieved according to the invention in that the wound cleansingassembly comprises or is a wound cleansing cloth, which comprises atleast one carrier layer and threads are arranged on the carrier layerand project from said carrier layer, made, preferably exclusively, fromsynthetic fibers, preferably plastic fibers.

It has shown that using such wound cleansing cloths with threads madefrom synthetic fibers wounds can be cleansed in a very simple manner,yet highly efficiently and without and/or with only minimal disturbanceof the wound healing processes that have already occurred. Here, thesynthetic fibers exhibit several advantages. On the one hand, they caneasily and reliably be sterilized. On the other hand, by theelectro-static attraction they bind the contaminants to be removed fromthe wound. The dirt particles removed from the wound are reliably heldbetween the threads of the wound cleansing cloth and are not releasedback into the wound.

Here, the term wound cleansing includes both the removal of externalbodies and/or particles, thus substances not formed by the body itself,but also the debridement, thus the process of preparing the wound base,in which substances and/or human material formed by the body itself areremoved from the skin and/or from the wound, such as excess fluids,fibrin coatings, dead tissue of the epidermis, such as excess keratinmaterial or dead keratinocytes and/or coatings of dead tissue(necroses). The wound cleansing assemblies according to the inventionare particularly well suited for the debridement and here particularlyfor the treatment of acute as well as chronic wounds, because when usingit any biological material disturbing the wound healing process isremoved from the wound in a particularly careful but also effectivemanner and simultaneously the newly sprouting skin spots in the form ofgranulation tissue remains preserved. Here, debridement also relates toone of the most important measures of managing acute as well as chronicwounds because without the debridement healing cannot occur according tothe known medical processes leading to the wound healing. In particularfor debridement the wound cleansing assembly according to the inventionis characterized such that the above-mentioned disturbing biologicalmaterial and/or human material is effectively removed from the wound byusing the wound cleansing cloth and subsequently it is held between thethreads of the wound cleansing cloth and thus cannot return back intothe wound or be released to the skin. In other words, the woundcleansing assembly according to the invention is characterized such thatit can actively pick up the material to be removed during debridementinto the area between the threads projecting from the carrier layer andthen hold it there so that any already removed biological materialcannot accidentally return into the wound. The wound cleansing cloth maybe used in a dry as well as in a moistened form and/or prior toapplication it may be soaked in liquids generally known and/or used inmedicine. The wound cleansing cloth preferably represents a sterilizedproduct and/or a medical product which fulfills the requirements ofapplicable standards and legal requirements for medical products.

Generally speaking, using the wound cleansing assemblies according tothe invention a method for cleansing, particularly debridement of awound and/or the skin can be performed. Here, external contaminantsand/or disturbing biological material and/or human material produced bythe body itself can be removed from the wound and/or from the skin. Forthis purpose, the wound must only be wiped and/or cleansed with thefibers projecting from the carrier layer. However, as already mentioned,the wound cleansing assemblies according to the invention areparticularly well suited for debridement, thus a method in whichbiological material and/or human material produced by the body itselfare removed from the wound and/or from the skin. In other words, usingthe wound cleansing assembly according to the invention a method can beperformed for picking up human material off the skin and/or out of awound. In particular for debridement, the wound cleansing assembliesaccording to the invention can be used for the indications named in thefollowing: for example it can fight an ongoing settlement of bacteria inthe wound in the form of a liquid bio-film, which leads to thecolonization or local infection of the wound. Thus, wound cleansingassemblies according to the invention can be used in a particularly wellsuited fashion to remove colonies of bacteria in a bio-film from thewound, which lead to systematic infections of the patient. Furthermore,dry fibrin coatings can be removed, which otherwise lead to a blockageof the wound healing process by blocking the wound base and/or woundedge necessary for healing. The same applies for the reduction ofplate-like necroses in the form of dead tissue in moist as well as indry forms. Furthermore, wounds and wound edges with excess keratinproduction (hyper-keratoses) and dead keratin and/or tissue cells can betreated effectively and carefully.

The threads may be embodied relatively soft, however they may also berelatively stiff like bristles. Theoretically, the threads may also showcomponents of non-synthetic fibers. However preferably it is providedthat they are made exclusively from synthetic fibers. Overall, the woundcleansing cloth forms a textile fabric, which can be used, if applicableafter being moistened, quickly and simply for a particular medical woundcleansing and/or for debridement, particularly for acute or chronicwounds. The term synthetic fiber is understood initially to include allnon-natural fibers in general, particularly plastic fibers.

Particularly preferred it is provided that at least some, preferably atleast 50% of the threads exhibit ends preferably cut-off and freelyprojecting from the side facing away from the carrier layer.Beneficially at least 80% to 90%, and preferably all threads exhibitfreely projecting, preferably cut-off ends at the side facing away fromthe carrier layer. Due to these freely projecting ends the threadsdevelop a type of razorblade effect, which renders the removal ofcontaminants and/or disturbing biological material from the woundparticularly effective, especially material produced by the body itself.In this sense it is beneficially even provided that the threads exhibitends and/or end surfaces extending, particularly cut at an angle inreference to their longitudinal extension. Here, “at an angle” isunderstood as all angles extending neither orthogonally and/or normallynor parallel in reference to the longitudinal extension of the threads.The longitudinal extension of the threads is here understood as theiralignment in the extended state. Preferably the ends and/or end surfacesextending at an angle in reference to their longitudinal extension forman angle ranging from 70° to 80° with the longitudinal extension of thethread. This shall not be understood such that the threads must alwaysbe extended. Although the threads may be embodied with differenthardness and/or bristle-like, they always show a certain beneficialflexibility, though. In order to allow achieving the desired woundcleansing effect as quickly as possible and over a certain areaparticular embodiments provide that the threads form a pile arranged atthe carrier layer and projecting therefrom.

It is also advantageous for the carrier layer, preferably the entirewound cleansing cloth to comprise synthetic fibers, preferably plasticfibers or even better to consist of such fibers. Wound cleansing clothsof this type can be easily produced. For example, a method for theproduction of a wound cleansing cloth may provide that two carrierlayers are jointly produced in a first processing step in the form ofstitched fabric, preferably knitted or woven, with in this firstprocessing step an intermediate layer being formed between the twocarrier layers from threads extending between the two carrier layers,and incorporated in the two carrier layers and the threads beingseparated, preferably cut in a second processing step, preferably in themiddle between the two carrier layers. In such a production manner it issimultaneously achieved that the threads exhibit ends and/or endsurfaces extending, preferably cut at an angle in reference to theirlongitudinal extension. Alternative production methods provide that awound cleansing cloth is produced preferably by weaving or knitting,comprising a carrier layer and threads made from synthetic fibersprojecting from said carrier layer and subsequently the projectingfibers are cut preferably at an angle in reference to their longitudinalextension. This way, the threads may be cut both to the desired lengthas well as at a desired angle. Suitable cutting devices are known inprior art. The synthetic fibers and/or the carrier layer, preferably theentire wound cleansing cloth, preferably consist of materials, such aspolyester, polyamide, and/or polyacrylics. These different plastics canbe used as pure substances for the entire wound cleansing cloth.However, it is also possible to produce the threads and/or the carrierlayer and/or the entire wound cleansing cloth from mixtures of syntheticfibers comprising polyester and/or polyamide and/or polyacrylics. Forexample, it is possible to use synthetic fibers comprising 80%polyacrylics and 20% polyester for the threads. The carrier layer may bemade from 100% polyester, e.g. However, preferred embodiments alsoprovide making the threads from 100% polyester.

It will frequently occur that the wound cleansing cloth according to theinvention is used as a single-use item and discarded after use. In thesense of simply discarding it, is beneficial for the entire woundcleansing cloth to be embodied as homogeneously as possible. In thissense it is preferably provided for the threads and/or the carrierlayer, preferably the entire wound cleansing cloth to comprise at least90% by weight, preferably entirely a single synthetic material and/orplastic, preferably polyester or polyamide or polyacrylics. In allembodiments the threads and/or the carrier layer may be coated with acoating mass, preferably 100% polyacrylics. The coating mass may bebrushed onto the fibers in a liquid form using a cylinder and becalendared. It is beneficial to use an amount ranging from 50 to 70 gramcoating mass per square meter, preferred are here 60 g/m².

Within the scope of the invention it may also be provided that at leastsome of the threads projecting from the carrier layer and/or at leastsome of the threads forming the carrier layer are preferably pure silverthreads and/or preferably pure copper threads and/or comprise syntheticfibers with a silver coating and/or copper coating or are madetherefrom. By the use of silver and/or copper a temporary or permanentanti-bacterial effect can be achieved. It may relate to pure silverand/or copper threads, i.e. threads which comprise exclusively silver orcopper to the level of purity achievable during the production process,or threads containing silver or copper. The coating of synthetic fiberswith silver and/or copper may be achieved by immersing the fibers or thefinished produced wound cleansing cloths in silver and/or copper bathsor by an appropriate spraying or vapor coating. In all these cases thethreads may be incorporated in the carrier layer and/or in the pileformed by the threads.

In order to achieve the desired temporary or even permanentanti-bacterial effect it may also be provided that nanoparticles adhereto and/or are arranged at the synthetic fibers of the carrier layerand/or the synthetic fibers of the threads projecting from the carrierlayer. For this purpose, the fibers or the wound cleansing cloth and/orthe wound cleansing assembly may be immersed in baths with therespective nanoparticles or be sprayed or vapor coated withnanoparticles. The nanoparticles are accepted by the fiber core, whichleads to the desired antibacterial effect. Using the nanoparticles,other additional features may be achieved, too, such as disinfection.

The use of preferably exclusively synthetic fibers, preferably plasticfibers, is also advantageous in that provably such fibers trigger noallergic reactions.

As already explained, the invention therefore particularly relates to acloth for the use and/or for the specific application as a woundcleansing assembly and/or as a wound cleansing cloth. Therefore, theinvention also relates to a cloth for cleansing, particularly for thedebridement of wounds or skin, which comprises a carrier layer andthreads arranged at the carrier layer and projecting from said carrierlayer, preferably comprising exclusively synthetic fibers, preferablyplastic fibers.

The preferred embodiments of this cloth and/or this wound cleansingcloth and/or the wound cleansing assembly have already been partiallyexplained and will be once more explained in greater detail using theexemplary embodiment shown in the figures. Here, it must be mentionedthat the invention therefore also relates to the use of synthetic fibersfor the production of a wound cleansing assembly or a wound cleansingcloth of a wound cleansing assembly with the above-mentioned featuresfor cleansing and/or for the debridement of wounds or the skin. In theabove-mentioned applications and/or specific uses the medical use by aphysician is focused on, particularly, the surgical or therapeutictreatment of acute or chronic wounds.

In order to allow providing a sterile wound cleansing cloth and/or clothfor cleansing wounds and/or for debridement, the invention furtherprovides an arrangement which comprises at least one wound cleansingcloth or at least one respective cloth and a preferably air-tight,sealed package, preferably a plastic package, with at least one woundcleansing cloth or cloth being packaged in a sterile fashion.

Additional aspects of the invention, together with the advantages andnovel features appurtenant thereto, will be set forth in part in thedescription which follows, and in part will become apparent to thoseskilled in the art upon examination of the following, or may be learnedfrom the practice of the invention. The objects and advantages of theinvention may be realized and attained by means of the instrumentalitiesand combinations particularly pointed out in the appended claims.

BRIEF DESCRIPTION OF THE DRAWINGS

Additional features and details of different embodiment variants of thepresent invention are discernible from the following description of thefigures. They show:

FIG. 1 a schematic side view of a wound cleansing cloth according to theinvention;

FIGS. 2 and 3 detailed views thereof;

FIG. 4 an exemplary embodiment according to the invention in the form ofa glove-like wound cleansing cloth;

FIG. 5 a schematic sketch that explains a particular production process;

FIG. 6 an arrangement according to the invention with a wound cleansingcloth enclosed in a package in a sterile fashion;

FIG. 7 a wound cleansing assembly according to the invention with areinforcement layer and a loop for better handling;

FIG. 8 another exemplary embodiment of a wound cleansing assemblyaccording to the invention provided with a reinforcement layer and apocket for grasping;

FIG. 9 another exemplary embodiment according to the invention, in whichthe wound cleansing cloth is fastened at a carrying body, and

FIG. 10 another wound cleansing assembly according to the invention, inwhich the wound cleansing cloth is also fastened to a carrying body.

DETAILED DESCRIPTION OF PREFERRED EMBODIMENT

As discernible in a side view according to FIG. 1 , the threads 3 arefastened at a carrier layer 2. They project laterally from the carrierlayer 2 and are beneficially arranged so tightly next to each other thatthey form a type of pile. Even if the threads are shown extendinglinearly in the schematic illustration shown, it is ultimately a matterof their stiffness and/or elasticity to what extent the threads 3actually project like bristles from the carrier layer 2, as shown here.Even in the unstressed state, shown here, it is not mandatory for allfibers 3 to project linearly from the carrier layer 2 in thelongitudinal direction. In any case, their elasticity shall be embodiedsuch that they bend appropriately, as soon as the wound cleansing clothis pressed against the wound. The hardness and/or pliability of thethreads may be adjusted as desired by their thickness and the materialused. Preferably used threads 3 comprise from 0.5 to 20 D-Tex (1 D-Tex=1g/10000 m). Particularly preferred embodiments provide that the threadsare 6.7 D-Tex. The height of the pile 13 and/or the length of thethreads 3 beneficially ranges from 3 mm to 30 mm, preferably from 3 to12 mm, particularly preferred is a pile 13 having a height of 8 mm.Beneficially, fibers with a mass per area unit ranging from 500 to 900g/m2 (gram per square meter) and/or particularly preferred of approx.700 g/m2 are used for the carrier layer 2 and/or the threads 3. Thecarrier layer 2 is beneficially embodied in the form of a stitched web.It may also represent to a web or a knitted fabric, for example. Thethreads 3 projecting from the carrier layer 2 are beneficiallyinterwoven and/or knitted into the carrier layer 2. It is particularlypreferred that the woven fabric is a woven web. Here, the fibers and/orthe threads 3 particularly well adhere to the carrier layer 2, so thatthey cannot accidentally separate from the carrier layer 2 during theprocess of wound cleansing and/or debridement. Furthermore, no lintdevelops in webs, i.e. no separation of individual fibers from thethreads 3 occurs. In particular, the webs may be embodied with orwithout any reinforcement layer 6, due to their high inert stiffness.Any potentially present silver and/or copper threads may be alsointerwoven. Beneficially the carrier layer 2 comprises 7 to 12,preferably 9 stitches/cm2 and 10 to 14, preferably 12 rows/cm2. In orderto stabilize the carrier layer 2 embodied as a stitched fabric, inpreferred embodiments, such as the one shown in FIG. 1 , the carrierlayer 2 may be coated with a reinforcement layer, preferably at the sidefacing away from the projecting threads 3, connecting the stitches ofthe carrier layer 2 preferably continuously. The reinforcement layer 6may not only be used in carrier layers 2 embodied as webs. Rather it maybe provided in general that in and/or at the carrier layer 2, preferablyat the side of the carrier layer 2 facing away from the projectingthreads 3, at least one reinforcement layer 6 is arranged. One or morereinforcement layers 6 may be provided on the carrier layer 2. In anycase, by the reinforcement layer and/or layers 6 it is achieved that onthe one hand, the threads 3 are held particularly tightly at the carrierlayer 2. On the other hand, the stiffness of the carrier layer 2 is alsoincreased which during the treatment of the wound or the skin leads tothe pressure applied onto the wound cleansing cloth being evenlydistributed over an area of the wound. The reinforcement layer(s) 6 is(are) generally embodied as additional layer(s), fastened at the carrierlayer by suitable measures.

This type of reinforcement via at least one reinforcement layer 6 can beachieved by different means. For example, the reinforcement layer 6 maybe applied in the form of a curing adhesive layer on the back of thecarrier layer 2 facing away from the threads 3. However, thereinforcement layer 6 may also represent a coating of syntheticmaterials which become liquid under heat and which cure when cooling.Here, e.g., polyester may be used as the material. The mass per areaunit of such coatings beneficially range from 40 g to 120 g per m2.Alternatively, a reinforcement layer 6 may also be produced as amembrane made from synthetic materials. Here, too, preferably polyestermaterials may be used. The membranes represent thin skins and/or elasticfilms. In particular, they may serve as separating layers. The membranesmay also be impermeable with regards to moisture and/or liquids orpartially permeable or even entirely permeable. The membranes may beapplied by way of punctual lamination on the carrier layer 2 e.g., aselastic films using particular adhesives. Alternatively, it is alsopossible for the membrane to be applied on the carrier layer 2 by spraylamination using an adhesive in the form of an elastic film. Usefulmasses per area unit for such membranes range from 10 g to 60 g per m2.Alternatively, the reinforcement layer 6 may also be embodied in theform of a rubber coating using synthetic materials, such as polyestermaterials or natural substances, such as rubber. The lamination canoccur with all common systems. The mass per area unit of suchreinforcement layers 6 in the form of rubber coatings shall beneficiallyrange from 20 to 60 g per m2. Another variant of a reinforcement layer 6provides for it comprising a foam made from a synthetic material, suchas polyester. The mass pre area unit preferably ranges from 10 to 60 gper m2. The fastening to a carrier layer 2 can once more occur vialamination. The thickness of such reinforcement layers 6 comprising foammay amount e.g., from 5 to 20 mm. In particular when foam is provided asa reinforcement layer 6 additional reinforcement layers 6, such asmembranes or rubber coatings may be provided at the carrier layer 2 inorder to achieve permeability with regards to moisture and/or liquids.

Mentioning another example, one of the reinforcement layer or layers 6may also be embodied as a knitted and/or woven fibrous fabric comprisinga synthetic material. For example, this fibrous fabric may be adhered tothe carrier layer 2. The fabric may be provided with nubs, similar toany other reinforcement layer 6 or the carrier layer 2 itself, e.g.,made from rubber, in order to ensure better fastening.

In general it must be pointed out that depending on the desiredcharacteristics one or several reinforcement layers 6 may be arranged atthe carrier layer 2. The reinforcement layers 6 may be embodiedrepelling or impermeable to liquids or moisture so that the personperforming the treatment does not come into contact with the substancesremoved from the wounds and/or the skin. Another important effect, whichcan be achieved by the reinforcement layer(s) 6, is the stiffening ofthe wound cleansing cloth (1) and/or the wound cleansing assembly.

FIG. 2 shows in detail an embodiment in which the freely projecting ends4 of the threads 3 are arranged orthogonally and/or normally inreference to the longitudinal extension 5 of the threads 3 arrangedextended. A particularly good cleaning effect is achieved by thesefreely projecting ends 4. FIG. 3 shows a particularly preferredembodiment, in which the freely projecting ends 4 and/or their endsurfaces are not extending orthogonally, but at an angle in reference tothe longitudinal extension of the threads 3. The angle results in adefined cutting edge at an intersection of the end surface and asidewall of the thread. This creates a particularly good razor-bladelike effect, which removes the contaminants and/or the biologicalmaterial from the wound in a particularly effective fashion. The angle23 between the freely projecting ends 4 and/or their end surfaces andthe longitudinal extension 5 of the threads 3 beneficially ranges from70° to 80°. In the embodiments shown in FIG. 2 and FIG. 3 , the threadsare single-fiber threads. Returning to FIG. 1 , reference is made oncemore to another positive feature of the use of synthetic fibers for thethreads 3. As indicated schematically, any contaminants 14 and/or thebiological material, once removed from the wound, remain trapped in thepile on the one hand by the density of the pile formed by the threads 3,and on the other hand also by the electrostatic attraction of thesynthetic fibers of the threads 3, so that there is no risk for themreturning into the wound during further use of the wound cleansing cloth1.

In preferred embodiments of the invention it may be provided thatsynthetic fibers of the carrier layer 2 and/or the synthetic fibers ofthe threads 3 projecting from the carrier layer 2 are shrunk byheat-treating, preferably via thermal treatment. The heating can occure.g., at 100-200°. The fibers and thus the treads 3 become more stableand perhaps more colorfast by the heating process. The increasedstability of the threads 3 improves the effectiveness of the woundcleansing assembly. The heating may be performed on the crude fiberprior to producing the wound cleansing cloth 1 but also on an otherwisealready completely finished wound cleansing cloth 1. Shrinkage may occurby the heating process, which may range e.g., from 10 to 20% inreference to the previous length of the threads 3 and/or the fibers.

FIG. 4 shows a glove-like formed exemplary embodiment of a woundcleansing cloth according to the invention. It may be produced, e.g., bya respective sewing together two wound cleansing cloths shown in FIG. 1, with the threads 3 pointing outwardly.

FIG. 5 shows a schematic drawing, based on which a preferred productionmethod is explained for wound cleansing cloths 1 and/or fabricsaccording to the invention. This method provides that two carrier layers2 are produced together in the form of stitched fabrics in a firstprocessing step, with in this first processing step an intermediatelayer 8 made from threads extending between the two carrier layers andincorporated into the two carrier layers 2 being embodied between thetwo carrier layers 2. Here, knitting or weaving techniques known per semay be used, for example. The threads 3 are beneficially knitted and/orwoven in as early as during the knitting and/or weaving of the carrierlayers 2. Such knitting and/or weaving techniques are known in prior artand it is not necessary to explain them. When this type of stitchedfabric is finished, as shown schematically in FIG. 5 , the threads 3 arepreferably severed in a second processing step, preferably in the middlebetween the two carrier layer 2, preferably cut. FIG. 5 schematicallyshows the separating tool and/or knife 10 and the separating line 9.When a certain pressure is applied upon the separation tool and/or knife10 for cutting and/or severing the threads 3 here automatically thepreferred freely projecting ends 4 of the threads 3 are produced, shownschematically in FIG. 3 and arranged at an angle in reference to thelongitudinal extension 5 of the threads 3.

Subsequent to the already described processing steps, if desired, thealready described reinforcement layer 6 may be applied on the rear sidesof the carrier layers 2 facing away from the threads 3. Furthermore, itis also possible to brush and/or roll the coating mass mentioned at theoutset, preferably comprising 100% polyacrylic, onto the fibers,primarily the threads 3 in a liquid form.

Alternatively, a production process may also be provided, in which awound cleansing cloth 1 is prepared separately, preferably by way ofweaving or knitting, having a carrier layer 2 and threads 3 comprisingsynthetic fibers projecting from said carrier layer 2, and subsequentlythe projecting threads 3 are cut preferably at an angle in reference totheir longitudinal extension 5. FIG. 1 shows such a wound cleansingcloth 1 after the cutting of the threads 3. The threads may be cut bothin the desired length as well as the desired angle. Suitable cuttingdevices are known in prior art. One or more reinforcement layers 6optionally provided can be fastened prior or after the cutting of thethreads 3.

Furthermore, FIG. 6 shows an arrangement according to the inventioncomprising a package 7 and a wound cleansing cloth 1 according to theinvention of the type described. The wound cleansing cloth 1 is packagedin a sterile fashion in the package 7. The package 7 may be embodied,e.g., as a plastic package and/or film package. As indicated in FIG. 6 ,it may represent e.g., a two-layered structure. This may comprise acover film 12 and a sterilizing paper arranged at the other side, withthe cover film 12 and the sterilizing paper welded to each other via acircumferentially closed welding seam 11. However, the use of othersterile packaging known in prior art is possible. The wound cleansingcloth 1 can be sterilized prior to packaging by known sterilizingmethods, such as steam sterilization, gamma-ray sterilization, or oxygensterilization. The length of the edges of the wound cleansing cloth 1and/or the packaging beneficially range from 5 to 20 cm, preferably from10 to 20 cm.

FIG. 7 shows another exemplary embodiment of a wound cleansing assemblyaccording to the invention. A reinforcement layer 6 is applied on thecarrier layer 2 on the side facing away from the threads 3. Whenselecting appropriate materials and thicknesses it may ensure on the onehand an increased stiffness of the wound cleansing cloth. On the otherhand, when embodied in a moisture and/or liquid-impermeable fashion, thereinforcement layer 6 may protect the hand of the person performing thewound treatment from coming into contact with the materials removed fromthe wound. In order to simplify handling, in the exemplary embodimentaccording to FIG. 7 , a loop 15 is provided at the rear of the carrierlayer 2 and/or the side facing away from the threads 3. The personperforming the treatment can engage this loop 15 with the hand so thatthe wound cleansing assembly can be held securely and tightly during thewiping and/or cleansing of the wound using the threads 3. The loop 15may comprise elastic or non-elastic materials. The same applies to theexemplary embodiment according to FIG. 8 , in which instead of the loop15, a pocket 16 is provided which the person performing the treatmentcan engage by his/her hand. Similar to all other exemplary embodiments,the side of the wound cleansing cloth 1 at the side facing away from thethreads 3, which is grasped by the person performing the treatment, maybe provided with nubs. This increases slip-resistance.

In other embodiments according to the invention, shown e.g., in FIGS. 9and 10 , it may also be provided that the wound cleansing cloth 1 isarranged and/or fastened to a preferably stiff carrier body, preferablyin an interchangeable fashion. The use of such carrier bodies 18 isparticularly recommended when the wound cleansing cloth 1 is to be usedfor the treatment of smaller or deeper wounds with smaller exteriordimensions. For example, it may be provided that the wound cleansingcloth 1 has edge lengths from 3 cm to 6 cm, preferably 5 cm. In theexemplary embodiment shown, the carrying body 18 is formed by a plate 20and a handle 19 arranged thereat. Both of them as well as the entirecarrying body 18 are beneficially embodied in an essentially stifffashion. In the variant shown, the fastening of the carrying body 18and/or a plate 20 occurs by inserting the plate 20 into the insertionpockets and/or tapes 17 at the edge of the wound cleansing cloth 1. Ofcourse, other fastening variants, such as Velcro, are also possible andcan be used, at which perhaps additional objects are fastened.

FIG. 10 shows a variant of a wound cleansing assembly according to theinvention, in which the wound cleansing cloth 1 is fastened at a rod.The rod 21 in turn shows a handle 19, at which the wound cleansingassembly may be grasped. The threads 3 of the wound cleansing cloth 1projecting outwardly are not shown separately in FIG. 10 . In thevariants according to FIGS. 9 and 10 as well as in other suchembodiments the wound cleansing cloth 1 can be fastened at the carryingbody 18 in a detachable or fixed manner. Embodiments according to theinvention with preferably essentially stiff carrying bodies 18 areparticularly well suited if they can apply pressure upon the desiredsite and/or wound to be treated in a targeted fashion. The variantaccording to FIG. 10 is particularly recommended to treat small and hardto access areas of a wound or of such skin areas. The rod 21 isbeneficially extended inside the wound cleansing cloth 1 in order tostiffen it appropriately. For this purpose, the wound cleansing cloth 1can be wound, e.g., around the rod 21 and/or form a respective pocketinto which the rod 21 is inserted.

The multitude of embodiments according to the invention shown shallindicate that the invention is not limited to the variants concretelyshown. Rather it is possible to combine the above-mentioned preferredembodiments and features in order to provide additional wound cleansingassemblies according to the invention particularly beneficial for therespective use.

LEGEND OF THE REFERENCE CHARACTERS

-   1 Wound cleansing cloth-   2 Carrier layer-   3 Threads-   4 End-   5 Longitudinal extension-   6 Reinforcement layer-   7 Packaging-   8 Intermediate layer-   9 Separating line-   10 Separating tool-   11 Welding seam-   12 Cover film-   13 Height of pile-   14 Contaminant-   15 Loop-   16 Pocket-   17 Insertion pocket or insertion tape-   18 Carrying body-   19 Handle-   20 Plate-   21 Rod-   22 Length-   23 Angle

From the foregoing it will be seen that this invention is one welladapted to attain all ends and objectives herein-above set forth,together with the other advantages which are obvious and which areinherent to the invention.

Since many possible embodiments may be made of the invention withoutdeparting from the scope thereof, it is to be understood that allmatters herein set forth or shown in the accompanying drawings are to beinterpreted as illustrative, and not in a limiting sense.

While specific embodiments have been shown and discussed, variousmodifications may of course be made, and the invention is not limited tothe specific forms or arrangement of parts and steps described herein,except insofar as such limitations are included in the following claims.Further, it will be understood that certain features and subcombinationsare of utility and may be employed without reference to other featuresand subcombinations. This is contemplated by and is within the scope ofthe claims.

What is claimed and desired to be secured by Letters Patent is asfollows:
 1. A method for debridement of a wound comprising: wiping thewound using a wound cleansing assembly which comprises a wound cleansingcloth (1) having at least one carrier layer (2) and threads (3) arrangedon the carrier layer (2) and protruding from said carrier layer (2),said threads comprising synthetic fibers, wherein a linear density ofsaid threads (3) is in the inclusive range from 0.5 to 20 D-Tex; whereinat least some of the threads (3) have protruding ends (4) freelyprotruding from the carrier layer (2), and wherein said threads (3)comprise end surfaces that extend at an angle neither orthogonal norparallel with reference to a longitudinal axis (5) of the threads (3);wherein an intersection of each of the end surfaces and respectivesidewalls of the threads (3) define respective cutting edges; whereinsaid cutting edges have a razorblade effect to promote removal ofsubstances formed by a body.
 2. The method of claim 1, wherein thewiping step comprises wiping the wound with the threads protruding fromthe carrier layer.
 3. The method of claim 2, wherein the wiping stepcomprises picking up human material out of the wound, removing coloniesof bacteria in a bio-film from the wound, removing dry fibrin coatingsof the wound, reducing plate-like necroses formed of dead tissue fromthe wound, removing dead keratin from the wound, removing excess keratinfrom the wound, or combinations thereof.